Organization
TIPTON ANESTHESIA GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H. WITHAM JR. CRNA (CRNA)
(901) 737-8571
Entity
Organization
Contact information
Practice address
1995 HIGHWAY 51 S, COVINGTON, TN 38019-3635
(901) 737-8571
(901) 737-6350
Mailing address
124 TIMBER CREEK DR, SUITE #2, CORDOVA, TN 38018-4280
(901) 737-8571
(901) 737-6350
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0600153
TN
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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